Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Richard Gissibl, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1134650302

Michael Richard Gissibl, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Waukesha, Wisconsin. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

2607 N Grandview Blvd Ste 110
Waukesha, WI 53188-1686
Phone: (262) 313-8339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1134650302
Entity typeIndividual (Type 1)
GenderMale
Credentials SAC-IT
Sole proprietorNo
NPI enumeratedMarch 21, 2017
Last updated in NPPESMarch 21, 2017

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